IndividualActive
William Blitstein, DC, FASA, CCSP
NPI 1619954005 · Sports Physician Chiropractor · Charlotte, NC
Provider details
- NPI number
- 1619954005
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- DC, FASA, CCSP
- Sex
- Male
- Sole proprietor
- No
- License
- NC2475 (NC)
Practice location
2305 E Wt Harris Blvd
Ste 102
Charlotte, NC 28213
Phone: (704) 921-0505
Fax: (704) 921-0508
Mailing address
2305 E Wt Harris Blvd
Charlotte, NC 28213
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2013-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.